Organization
MODERN ALLERGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY HAYWARD BENNETT DO (PRESIDENT & PHYSICIAN)
(614) 758-7600
Entity
Organization
Contact information
Practice address
3535 FISHINGER BLVD STE 280, HILLIARD, OH 43026-7568
(614) 758-7600
(614) 758-7609
Mailing address
3535 FISHINGER BLVD, STE. 280, HILLIARD, OH 43026-7568
(614) 758-7600
(614) 758-7609
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
Other
Enumeration date
04/13/2022
Last updated
06/02/2023
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